风湿性心脏病导致的上下腔静脉联合曲张：一种独特的表现。
Combined uphill and downhill varices as a consequence of rheumatic heart disease: a unique presentation.
作者信息
Harwani Yogesh P, Kumar Ajit, Chaudhary Akash, Kumar Manoj, Choudeswari Padmavathi R, Kankanala Vishnu V, Joshi Nayana, Kansagra Chintan, Shah Sandip, Tripathi Abhisheka
机构信息
Department of Medical Gastroenterology, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh 500082, India.
出版信息
J Clin Exp Hepatol. 2014 Mar;4(1):63-5. doi: 10.1016/j.jceh.2013.10.003. Epub 2014 Jan 2.
Abstract
Hemorrhage from downhill varices is a rare manifestation. The etiology of downhill varices is due to superior vena cava obstruction while uphill varices are secondary to portal hypertension. We report a rare case of 55-year-old female with bleeding downhill varices not associated with obstruction or compression of superior vena cava, but was due to severe pulmonary artery hypertension secondary to chronic rheumatic heart disease.
摘要
下行性静脉曲张出血是一种罕见的表现。下行性静脉曲张的病因是上腔静脉阻塞，而上行性静脉曲张继发于门静脉高压。我们报告一例罕见病例，一名55岁女性，其下行性静脉曲张出血与上腔静脉阻塞或受压无关，而是由于慢性风湿性心脏病继发的严重肺动脉高压所致。
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本文引用的文献
1
"Downhill" varices. A rare cause of esophageal hemorrhage.“下行性”静脉曲张。食管出血的罕见原因。
Rev Esp Enferm Dig. 2006 May;98(5):359-61. doi: 10.4321/s1130-01082006000500006.
2
[Esophageal varices due to superior caval hypertension].
Angiologia. 1955 Mar-Apr;7(2):49-53.
3
ESOPHAGEAL VARICES IN SUPERIOR VENA CAVAL OBSTRUCTION.上腔静脉阻塞中的食管静脉曲张
Am J Roentgenol Radium Ther Nucl Med. 1964 Nov;92:1000-12.
4
A case of Castleman's disease with "downhill" varices in the absence of superior vena cava obstruction.一例无 superior vena cava obstruction 的 Castleman 病伴“下行性”静脉曲张。 （注：“superior vena cava obstruction”常见释义为“上腔静脉阻塞” ，这里保留英文未翻译，因为不确定是否有特定专业术语要求不翻译该部分，如果是特定医学术语，应按专业要求准确处理）
Endoscopy. 2002 Feb;34(2):160-2. doi: 10.1055/s-2002-19840.
5
Esophageal varices in congenital heart disease with total anomalous pulmonary venous connection.先天性心脏病合并完全性肺静脉异位连接中的食管静脉曲张
Int J Card Imaging. 2000 Oct;16(5):405-9. doi: 10.1023/a:1026578412327.
6
[Downhill varices: esophageal varices without portal hypertension].[下行性静脉曲张：无门静脉高压的食管静脉曲张]
Med Welt. 1971 Sep 11;22(37):1433-6.
7
'Downhill' esophageal varices. A rare cause of upper gastrointestinal bleeding.“下行性”食管静脉曲张。上消化道出血的罕见原因。
Arch Surg. 1978 Dec;113(12):1463-4. doi: 10.1001/archsurg.1978.01370240085016.
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